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Home My WebLink About2016-00716 - addn/remodel/repair CITY OF ORONO * 2 0 1 6 - 0 0 7 1� 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 CASCO POINT RD PIIv : 20-117-23-32-0016 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: NO ALTERATIONS-REPAIR DUE TO WATER DAMAGE APPLICANT PERMIT FEE SCHEDULE 490.12 STATE SURCHARGE(VALUATION) 15.00 WELTZIN&ELIZABETH HABERMAN,THSHANE TOTAL 505.12 2800 CASCO PT RD Payment(s) WAYZATA,MN 55391- CREDIT CARD 6521 505.12 OWIYER WELTZIN&ELIZABETH HABERMAN, THSHANE 2800 CASCO PT RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all requi ed inspections are requested i n`formance with the State Buil g Code.This permit may bc revok at any time for due cause. ""_' /� ' � /� / �� pplicant 'e ' e Signat ate Issued By i nature Date City of Orono ' Building Permit Application for Maintenance / Replacement/ Remodel - Residential ONLY a�_P_ ,n�:� . :�: Ff_�4nr. ��'.-�t�nr. �'tG. , '-�f.JCT' �.-r- �Xf��: _ — ,. ' Mailing Address: Permit number: "�-��- % ;� � � ��'�, PO Box 66 � Crystal Bay, MN 55323-0066 Date received: —Z -� 1 ! ` ' Received by: 1� � �; , � Street Address: � �`' :� 2750 Kelley Parkway Plan review fee: �`�� / Orono, MN 55356 ��f S H��.! ,,.��—'�J�� ___.-- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print GENERAL INFORMATION: /� � Job Site Address: �� v � �-.j G� �.n � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suHicient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC T INFORMATIO Name: ��Q ��-�.�Z�V\ State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) / Z_ � � - 3 �,5� ' (office) Mailing Address Z " C� � �ti C o�ti City: � �•� � ZIP: �y � Contact Person: 4N � Applicant is: Contractor / omeowner (CircleOne) Email and/or Fax: _S� r� cJ o �t� � �1��+ • �� PROPERTY OWNER INFORMATION: Name: �`� h N�� C:�� I =Z-l� Phone (day): � Z- � �� - 3�5� r� Address: Z �� ,�. L�, �o•,,,� (��`J City: �<,v�a ZI P: S��J � Email and/or Fax: �c ;3�,,� Jo �5� <� � ✓tic.. , L �r � PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) �-f2emodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt �.ftepair �Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration �Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �.aA(indow(s) Estimated Construction Valuation of Project(excluding land) $ 'v APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informatiori is to annuall u ate our records and records of other governmental agencies required by law. If ou refuse to su I the� formation,the a ic tion ma not be issued. Applicant'sSignature: ----Date: � � Z� " �b Owner's Signature: ` Date: ��6 - z� � l� Last Updated:January 20R6 J \\. � C? - � �� DATE TIME CITY OF ORONO CALLED IN Q /� -/ �' � INSPECTION NOTICE SCHEDULEO 1-iS •/�� ' PERMIT NO. ?�'�'Z��COMPLETED ADDRESS �� '�� OWNER ��-<<- r�`�"�-�a�ti1 TELEPHONE NO. �1��-��5� CONTRACTOR � DESCRIPTION �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEAICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W - /'>ci/CG fur� 7� -�:�c�6/oG/ 4�-�h.e��l � . o �Pl.,� �aJl � e,r,.r�,:.._��x, ��o�- „ ,/� �. � G�-4 n o �r'� O � W '/ � - .�✓'�� f�� f-'6,7C7�!T �/Y GL�S �h.,o./�� F� � ' Co.�,,o%`7�G �/,�'i�r.'C'�/ 1t�T ��/ ��t� w / /� jb n ar� b� i'��P iTi-, i'd,� 4�j ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � �CORRECT WORK�PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLI REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: �'�6�'� G ' White Copyllnspector's Flle Canary CopylSite Notice